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1457122426
MINATA ETTINA STEFANOPULOS
FRISCO, TX
NPI
1457122426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1148408)
Enumeration Date
2024-01-10
Last Update Date
2024-05-01
Business Address
MINATA ETTINA STEFANOPULOS APRN, PMHNP-BC
11330 LEGACY DR STE 103
FRISCO, TX 75033-1210
Phone number: 469-777-4691
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Mailing Address
MINATA ETTINA STEFANOPULOS APRN, PMHNP-BC
11330 LEGACY DR STE 103
FRISCO, TX 75033-1210
Phone number: 469-777-4691
Copy
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